| NPI | 1285456111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 351925) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 2414807) |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-12-18 |